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Zusammenfassung

Die sonografische Untersuchung des weiblichen Beckens hat sich in den letzten Jahrzehnten deutlich weiterentwickelt und neue Einsatzgebiete erschlossen. Ausschlaggebend war die enorme Weiterentwicklung der Gerätetechnik, die in den letzten Jahren zu einer erheblichen Verbesserung der Bildqualität und zur Entwicklung komplementärer Techniken (Farbdoppler‑, Doppler‑, 3D‑/4D-Sonografie und Hysterokontrastsonografie) geführt hat und die Qualität der sonografischen Diagnostik deutlich verbesserte.

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Literatur

  • Amant F, Coosemans A, Debiec-Rychter M et al (2009) Clinical management of uterine sarcomas. Lancet Oncol 10:1188–1198

    Article  PubMed  Google Scholar 

  • American Association of Gynecologic Laparoscopists (AAGL) (2012) AAGL practice report: practice guidelines for the diagnosis and management of submucous leiomyomas. J Minim Invasive Gynecol 19:152–171

    Article  Google Scholar 

  • American Fertility Society (1988) The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril 49:944–955

    Article  Google Scholar 

  • Ami O, Lamazou F, Mabille M et al (2009) Real-time transvaginal elastosonography of uterine fibroids. Ultrasound Obstet Gynecol 34:486–488

    Article  CAS  PubMed  Google Scholar 

  • Bermejo C, Martinez Ten P, Cantarero R et al (2010) Three-dimensional ultrasound in the diagnosis of Mullerian duct anomalies and concordance with magnetic resonance imaging. Ultrasound Obstet Gynecol 35:593–601

    Article  CAS  PubMed  Google Scholar 

  • Bernaschek G, Lubec G, Schaller A (1984) Sonographic study of the growth of the uterus and ovaries between the ages of 1 and 14. Geburtshilfe Frauenheilkd 44:727–730

    Article  CAS  PubMed  Google Scholar 

  • Bezircioglu I, Baloglu A, Cetinkaya B et al (2012) The diagnostic value of the Doppler ultrasonography in distinguishing the endometrial malignancies in women with postmenopausal bleeding. Arch Gynecol Obstet 285:1369–1374

    Article  PubMed  Google Scholar 

  • Blake RE (2007) Leiomyomata uteri: hormonal and molecular determinants of growth. J Natl Med Assoc 99:1170–1184

    PubMed  PubMed Central  Google Scholar 

  • Brucker SY, Rall K, Campo R et al (2011) Treatment of congenital malformations. Semin Reprod Med 2(29):101–112

    Article  Google Scholar 

  • Champaneria R, Abedin P, Daniels J et al (2010) Ultrasound scan and magnetic resonance imaging for the diagnosis of adenomyosis: systematic review comparing test accuracy. Acta Obstet Gynecol Scand 89:1374–1384

    Article  PubMed  Google Scholar 

  • Chan JK, Wu H, Cheung MK et al (2007) The outcomes of 27,063 women with unstaged endometrioid uterine cancer. Gynecol Oncol 106:282–288

    Article  PubMed  Google Scholar 

  • Cheng WF, Lin HH, Torng PL et al (1997) Comparison of endometrial changes among symptomatic tamoxifen-treated and nontreated premenopausal and postmenopausal breast cancer patients. Gynecol Oncol 66:233–237

    Article  CAS  PubMed  Google Scholar 

  • Cil AP, Tulunay G, Kose MF et al (2010) Power Doppler properties of endometrial polyps and submucosal fibroids: a preliminary observational study in women with known intracavitary lesions. Ultrasound Obstet Gynecol 35:233–237

    Article  CAS  PubMed  Google Scholar 

  • Cohen I (2004) Endometrial pathologies associated with postmenopausal tamoxifen treatment. Gynecol Oncol 94:256–266

    Article  CAS  PubMed  Google Scholar 

  • Curtis KM, Hillis SD, Marchbanks PA et al (2002) Disruption of the endometrial-myometrial border during pregnancy as a risk factor for adenomyosis. Am J Obstet Gynecol 187:543–544

    Article  PubMed  Google Scholar 

  • de Kroon CD, de Bock GH, Dieben SW et al (2003) Saline contrast hysterosonography in abnormal uterine bleeding: a systematic review and meta-analysis. BJOG 110:938–947

    Article  PubMed  Google Scholar 

  • de Kroon CD, Jansen FW, Louwé LA et al (2003) Technology assessment of saline contrast hysterosonography. Am J Obstet Gynecol 188:945–949

    Article  PubMed  Google Scholar 

  • De Smet F, De Brabanter J, Van den Bosch T et al (2006) New models to predict depth of infiltration in endometrial carcinoma based on transvaginal sonography. Ultrasound Obstet Gynecol 27:664–671

    Article  PubMed  Google Scholar 

  • Deligdisch L, Kalir T, Cohen CJ et al (2000) Endometrial histopathology in 700 patients treated with tamoxifen for breast cancer. Gynecol Oncol 78:181–186

    Article  CAS  PubMed  Google Scholar 

  • Denschlag D, Ulrich U, Emons G (2011) The Diagnosis and treatment of Endometrial Cancer: Progress and Controversies. Dtsch Arztbl Int 108:571–577

    Google Scholar 

  • Devlieger R, D’Hooghe T, Timmerman D (2003) Uterine adenomyosis in the infertility clinic. Hum Reprod Update 9:139–147

    Article  PubMed  Google Scholar 

  • Dreisler E, Stampe Sorensen S, Ibsen PH et al (2009) Prevalence of endometrial polyps and abnormal uterine bleeding in a Danish population aged 20–74 years. Ultrasound Obstet Gynecol 33:102–108

    Article  CAS  PubMed  Google Scholar 

  • Dueholm M (2006) Transvaginal ultrasound for diagnosis of adenomyosis: a review. Best Pract Res Clin Obstet Gynaecol 20:569–582

    Article  PubMed  Google Scholar 

  • Dueholm M, Lundorf E (2007) Transvaginal ultrasound or MRI for diagnosis of adenomyosis. Curr Opin Obstet Gynecol 19:505–512

    Article  PubMed  Google Scholar 

  • Dürr W (2012) Transvaginale Sonographie in der Gynäkologie. De Gruyter, Berlin

    Book  Google Scholar 

  • Exacoustos C, Brienza L, Di Giovanni A et al (2011) Adenomyosis: three-dimensional sonographic findings of the junctional zone and correlation with histology. Ultrasound Obstet Gynecol 37:471–479

    Article  CAS  PubMed  Google Scholar 

  • Exalto N, Stappers C, van Raamsdonk LA et al (2007) Gel instillation sonohysterography: first experience with a new technique. Fertil Steril 87:152–155

    Article  PubMed  Google Scholar 

  • Fleischer AC, Wheeler JE, Lindsay I et al (2001) An assessment of the value of ultrasonographic screening for endometrial disease in postmenopausal women without symptoms. Am J Obstet Gynecol 184:70–75

    Article  CAS  PubMed  Google Scholar 

  • Furness S, Roberts H, Marjoribanks J et al. (2009) Hormone therapy in postmenopausal women and risk of endometrial hyperplasia. Cochrane database of systematic reviews. CD000402.

    Google Scholar 

  • Fusi L, Cloke B, Brosens JJ (2006) The uterine junctional zone. Best Pract Res Clin Obstet Gynaecol 20:479–491

    Article  PubMed  Google Scholar 

  • Gembruch U, Merz E (2011) Standardization of ultrasound diagnostics in gynecology. Ultraschall Med 32:339–341

    Article  CAS  PubMed  Google Scholar 

  • Goldstein SR (2009) The role of transvaginal ultrasound or endometrial biopsy in the evaluation of the menopausal endometrium. Am J Obstet Gynecol 201:5–11

    Article  PubMed  Google Scholar 

  • Goldstein SR (2010) Modern evaluation of the endometrium. Obstet Gynecol 116:168–176

    Article  PubMed  Google Scholar 

  • Grab D, Merz E, Prompeler H et al (2011) Standards for ultrasound in gynecology. Ultraschall Med 32:415–417

    Article  CAS  PubMed  Google Scholar 

  • Gupta S, Jain M (1998) Incidental observations during routine laparoscopic sterilisation. J Indian Med Assoc 96:365–366

    CAS  PubMed  Google Scholar 

  • He RH, Gao HJ, Li YQ et al (2010) The associated factors to endometrial cavity fluid and the relevant impact on the IVF-ET outcome. Reprod Biol Endocrinol 8:46

    Article  PubMed  PubMed Central  Google Scholar 

  • Hennig Y, Deichert U, Bonk U et al (1999) Chromosomal translocations affecting 12q14-15 but not deletions of the long arm of chromosome 7 associated with a growth advantage of uterine smooth muscle cells. Mol Hum Reprod 5:1150–1154

    Article  CAS  PubMed  Google Scholar 

  • Ijland MM, Evers JL, Dunselman GA et al (1996) Endometrial wavelike movements during the menstrual cycle. Fertil Steril 65:746–749

    Article  CAS  PubMed  Google Scholar 

  • Jacobs I, Gentry-Maharaj A, Burnell M et al (2011) Sensitivity of transvaginal ultrasound screening for endometrial cancer in postmenopausal women: a case-control study within the UKCTOCS cohort. Lancet Oncol 12:38–48

    Article  PubMed  Google Scholar 

  • Kepkep K, Tuncay YA, Goynumer G et al (2007) Transvaginal sonography in the diagnosis of adenomyosis: which findings are most accurate? Ultrasound Obstet Gynecol 30:341–345

    Article  CAS  PubMed  Google Scholar 

  • Kolankaya A, Arici A (2006) Myomas and assisted reproductive technologies: when and how to act? Obstet Gynecol Clin North Am 33:145–152

    Article  PubMed  Google Scholar 

  • Kunz G, Beil D, Deininger H et al (1996) The dynamics of rapid sperm transport through the female genital tract: evidence from vaginal sonography of uterine peristalsis and hysterosalpingoscintigraphy. Hum Reprod 11:627–632

    Article  CAS  PubMed  Google Scholar 

  • Kunz G, Beil D, Huppert P et al (2000) Structural abnormalities of the uterine wall in women with endometriosis and infertility visualized by vaginal sonography and magnetic resonance imaging. Hum Reprod 15:76–82

    Article  CAS  PubMed  Google Scholar 

  • Lee CL, Jain S, Wang CJ et al (2001) Classification for endoscopic treatment of mullerian anomalies with an obstructive cervix. J Am Assoc Gynecol Laparosc 8:402–408

    Article  PubMed  Google Scholar 

  • Leone FP, Carsana L, Lanzani C et al (2007) Sonohysterographic endometrial sampling and hysteroscopic endometrial biopsy: a comparative study. Ultrasound Obstet Gynecol 29:443–448

    Article  CAS  PubMed  Google Scholar 

  • Leone FP, Timmerman D, Bourne T et al (2010) Terms, definitions and measurements to describe the sonographic features of the endometrium and intrauterine lesions: a consensus opinion from the International Endometrial Tumor Analysis (IETA) group. Ultrasound Obstet Gynecol 35:103–112

    Article  CAS  PubMed  Google Scholar 

  • Lermann J, Mueller A, Wiesinger E et al (2011) Comparison of different diagnostic procedures for the staging of malformations associated with Mayer-Rokitansky-Kuster-Hauser syndrome. Fertil Steril 96:156–159

    Article  PubMed  Google Scholar 

  • Lev-Sagie A, Hamani Y, Imbar T et al (2005) The significance of intrauterine lesions detected by ultrasound in asymptomatic postmenopausal patients. BJOG 112:379–381

    Article  PubMed  Google Scholar 

  • Leyendecker G, Kunz G, Noe M et al (1998) Endometriosis: a dysfunction and disease of the archimetra. Hum Reprod Update 4:752–762

    Article  CAS  PubMed  Google Scholar 

  • Lyons EA, Taylor PJ, Zheng XH et al (1991) Characterization of subendometrial myometrial contractions throughout the menstrual cycle in normal fertile women. Fertil Steril 55:771–774

    Article  CAS  PubMed  Google Scholar 

  • Matijevic R, Grgic O (2005) Predictive values of ultrasound monitoring of the menstrual cycle. Curr Opin Obstet Gynecol 17:405–410

    Article  PubMed  Google Scholar 

  • Mavrelos D, Ben-Nagi J, Holland T et al (2010) The natural history of fibroids. Ultrasound Obstet Gynecol 35:238–242

    Article  CAS  PubMed  Google Scholar 

  • Naftalin J, Jurkovic D (2009) The endometrial-myometrial junction: a fresh look at a busy crossing. Ultrasound Obstet Gynecol 34:1–11

    Article  CAS  PubMed  Google Scholar 

  • Naftalin J, Nunes N, Hoo W et al (2012) Endometrial cancer and ultrasound: why measuring endometrial thickness is sometimes not enough. Ultrasound Obstet Gynecol 39:106–109

    Article  CAS  PubMed  Google Scholar 

  • Nirmal D, Griffiths AN, Jose G et al (2006) Warming Echovist contrast medium for hysterocontrastsonography and the effect on the incidence of pelvic pain. A randomized controlled study. Hum Reprod 21:1052–1054

    Article  CAS  PubMed  Google Scholar 

  • Okolo S (2008) Incidence, aetiology and epidemiology of uterine fibroids. Best Pract Res Clin Obstet Gynaecol 22:571–588

    Article  PubMed  Google Scholar 

  • Oppelt P, Renner SP, Brucker S et al (2005) The VCUAM (Vagina Cervix Uterus Adnex-associated Malformation) classification: a new classification for genital malformations. Fertil Steril 84:1493–1497

    Article  PubMed  Google Scholar 

  • Parker WH (2007) Etiology, symptomatology, and diagnosis of uterine myomas. Fertil Steril 87:725–736

    Article  PubMed  Google Scholar 

  • Parker WH, Fu YS, Berek JS (1994) Uterine sarcoma in patients operated on for presumed leiomyoma and rapidly growing leiomyoma. Obstet Gynecol 83:414–418

    CAS  PubMed  Google Scholar 

  • Peddada SD, Laughlin SK, Miner K et al (2008) Growth of uterine leiomyomata among premenopausal black and white women. P Proc Natl Acad Sci USA 105:19887–19892

    Article  CAS  PubMed  Google Scholar 

  • Pepas L, Deguara C, Davis C (2012) Update on the surgical management of adenomyosis. Curr Opin Obstet Gynecol 24:259–264

    Article  PubMed  Google Scholar 

  • Perrot N, Frey I, Mergui JL et al (2001) Picture of the month. Adenomyosis: power Doppler findings. Ultrasound Obstet Gynecol 17:177–178

    Article  CAS  PubMed  Google Scholar 

  • Polin SA, Ascher SM (2008) The effect of tamoxifen on the genital tract. Cancer Imaging 8:135–145

    Article  PubMed  PubMed Central  Google Scholar 

  • Rein MS, Powell WL, Walters FC et al (1998) Cytogenetic abnormalities in uterine myomas are associated with myoma size. Mol Hum Reprod 4:83–86

    Article  CAS  PubMed  Google Scholar 

  • Rozewicki S, Bielewicz W, Iwanicki M et al (1992) Developmental anomalies of the uterus in a population of 3000 women with various causes of infertility. Ginekol Pol 63:515–517

    CAS  PubMed  Google Scholar 

  • Ryan GL, Syrop CH, Van Voorhis BJ (2005) Role, epidemiology, and natural history of benign uterine mass lesions. Clin Obstet Gynecol 48:312–324

    Article  PubMed  Google Scholar 

  • Samuels TA, Awonuga A (2005) Second-trimester rudimentary uterine horn pregnancy: rupture after labor induction with misoprostol. Obstet Gynecol 106:1160–1162

    Article  PubMed  Google Scholar 

  • Savelli L, Testa AC, Mabrouk M et al (2012) A prospective blinded comparison of the accuracy of transvaginal sonography and frozen section in the assessment of myometrial invasion in endometrial cancer. Gynecol Oncol 124:549–552

    Article  PubMed  Google Scholar 

  • Schmidt T, Nawroth F, Breidenbach M et al (2005) Differential indication for histological evaluation of endometrial fluid in postmenopause. Maturitas 50:177–181

    Article  CAS  PubMed  Google Scholar 

  • Shushan A, Revel A, Rojansky N (2004) How often are endometrial polyps malignant? Gynecol Obstet Invest 58:212–215

    Article  PubMed  Google Scholar 

  • Stewart EA, Taran FA, Chen J et al (2011) Magnetic resonance elastography of uterine leiomyomas: a feasibility study. Fertil Steril 95:281–284

    Article  PubMed  Google Scholar 

  • Takacs P, De Santis T, Nicholas MC et al (2005) Echogenic endometrial fluid collection in postmenopausal women is a significant risk factor for disease. J Ultrasound Med 24:1477–1481

    Article  PubMed  Google Scholar 

  • Taran FA, Weaver AL, Coddington CC et al (2010) Characteristics indicating adenomyosis coexisting with leiomyomas: a case-control study. Hum Reprod 25:1177–1182

    Article  PubMed  PubMed Central  Google Scholar 

  • Tetlow RL, Richmond I, Manton DJ et al (1999) Histological analysis of the uterine junctional zone as seen by transvaginal ultrasound. Ultrasound Obstet Gynecol 14:188–193

    Article  CAS  PubMed  Google Scholar 

  • Timmerman D, Verguts J, Konstantinovic ML et al (2003) The pedicle artery sign based on sonography with color Doppler imaging can replace second-stage tests in women with abnormal vaginal bleeding. Ultrasound Obstet Gynecol 22:166–171

    Article  CAS  PubMed  Google Scholar 

  • Troiano RN, McCarthy SM (2004) Mullerian duct anomalies: imaging and clinical issues. Radiology 233:19–34

    Article  PubMed  Google Scholar 

  • Van den Bosch T, Betsas G, Van Schoubroeck D et al (2009) Gel infusion sonography in the evaluation of the uterine cavity. Ultrasound Obstet Gynecol 34:711–714

    Article  PubMed  Google Scholar 

  • Van den Bosch T, Coosemans A, Morina M et al (2012) Screening for uterine tumours. Best Pract Res Clin Obstet Gynaecol 26:257–266

    Article  PubMed  Google Scholar 

  • Van den Bosch T, Van Schoubroeck D, Daemen A et al (2011) Lidocaine does not reduce pain perception during gel instillation sonography or subsequent office hysteroscopy: results of a randomized trial. Gynecol Obstet Invest 71:236–239

    Article  PubMed  Google Scholar 

  • Van Den Bosch T, Van Schoubroeck D, Luts J et al (2011) Effect of gel-instillation sonography on Doppler ultrasound findings in endometrial polyps. Ultrasound Obstet Gynecol 38:355–359

    Article  Google Scholar 

  • Van den Bosch T, Van Schoubroeck D, Van Calster B et al (2012) Pre-sampling ultrasound evaluation and assessment of the tissue yield during sampling improves the diagnostic reliability of office endometrial biopsy. J Obstet Gynaecol 32:173–176

    Article  PubMed  Google Scholar 

  • Van den Bosch T, Verguts J, Daemen A et al (2008) Pain experienced during transvaginal ultrasound, saline contrast sonohysterography, hysteroscopy and office sampling: a comparative study. Ultrasound Obstet Gynecol 31:346–351

    Article  PubMed  Google Scholar 

  • Verma SK, Lev-Toaff AS, Baltarowich OH et al (2009) Adenomyosis: sonohysterography with MRI correlation. AJR Am J Roentgenol 192:1112–1116

    Article  PubMed  Google Scholar 

  • Vessey MP, Villard-Mackintosh L, McPherson K et al (1992) The epidemiology of hysterectomy: findings in a large cohort study. Br J Obstet Gynaecol 99:402–407

    Article  CAS  PubMed  Google Scholar 

  • Vitiello D, McCarthy S (2006) Diagnostic imaging of myomas. Obstet Gynecol Clin North Am 33:85–95

    Article  PubMed  Google Scholar 

  • Wamsteker K, Emanuel MH, de Kruif JH (1993) Transcervical hysteroscopic resection of submucous fibroids for abnormal uterine bleeding: results regarding the degree of intramural extension. Obstet Gynecol 82:736–740

    CAS  PubMed  Google Scholar 

  • Werbrouck E, Veldman J, Luts J et al (2011) Detection of endometrial pathology using saline infusion sonography versus gel instillation sonography: a prospective cohort study. Fertil Steril 95:285–288

    Article  PubMed  Google Scholar 

  • Wetzstein R, Renn KH (1970) Arrangement of smooth muscle in the human uterus. Verh Anat Ges 64:461–468

    CAS  PubMed  Google Scholar 

  • Wolfman W, Leyland N, Heywood M et al (2010) Asymptomatic endometrial thickening. J Obstet Gynaecol Can 32:990–999

    Article  PubMed  Google Scholar 

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Hoopmann, M., Dürr, W., Van den Bosch , T., Timmermann, D., Brezinka, C. (2013). Uterus. In: Gembruch, U., Hecher, K., Steiner, H. (eds) Ultraschalldiagnostik in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29633-8_31

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